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儿童临终关怀短期护理服务中的权力、控制与选择问题:一项质性研究

Issues of power, control and choice in children's hospice respite care services: a qualitative study.

作者信息

Grinyer Anne, Payne Sheila, Barbarachild Zephyrine

机构信息

School of Health and Medicine, Lancaster University, Lancaster, UK.

出版信息

Int J Palliat Nurs. 2010 Oct;16(10):505-10. doi: 10.12968/ijpn.2010.16.10.79216.

DOI:10.12968/ijpn.2010.16.10.79216
PMID:20972383
Abstract

The changes within children's palliative care services in the UK over the last decade highlight the importance of respite provision. This article reports on an evaluation of a children's hospice in northern England that was undertaken to elicit the views of 24 service users on their experiences of respite care in the hospice: parents, children and young people, siblings, guardians and family carers. Data were collected using in-depth interviews, transcribed and submitted to framework analysis. The findings demonstrate the tensions that parents in need of respite care feel as a result of the power unconsciously exercised by staff. Redistribution of resources and reordering of priorities are recommended to prevent the inadvertent impact upon families.

摘要

过去十年间,英国儿童姑息治疗服务的变化凸显了提供喘息护理的重要性。本文报道了对英格兰北部一家儿童临终关怀院的评估,该评估旨在征求24位服务使用者对他们在临终关怀院接受喘息护理经历的看法,这些使用者包括父母、儿童及青少年、兄弟姐妹、监护人及家庭护理人员。通过深度访谈收集数据,进行转录并提交至框架分析。研究结果表明,由于工作人员无意识地行使权力,需要喘息护理的父母会感到紧张。建议重新分配资源并重新安排优先事项,以防止对家庭产生意外影响。

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